Coding Auditor, Educator
Lourdes Health System
full-time
Posted on:
Location Type: Remote
Location: Arizona • Connecticut • United States
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Salary
💰 $66,950 - $104,059 per year
About the role
- Responsible for professional fee (pro-fee) coding quality and audits, education and training, etc. for CPT, ICD-10-CM, and HCPCS codes for Virtua Medical Group clinicians and coding department.
- Performing internal audits, overseeing external audits, and providing education and training to the pro-fee coders.
- Responsible for working with VMG practices to resolve all coding issues that prevent accounts from being processed appropriately.
- Responsible for developing, implementing and maintaining compliance plan for pro-fee coding and abstracting.
- Providing training and education for newly hired coders that includes utilizing the medical record in conjunction with rules and regulations to properly code VMG encounters.
- Conducting Trains new coders to utilize the medical record, clinical, coding and abstracting systems, in conjunction with UHDDS and other rules and regulations and other appropriate resources to properly abstract and code all HIM coded inpatient and outpatient accounts and provides appropriate feedback.
- Reviewing work queue edits for provider coding trends and education needs.
- Assisting with monitoring of pre-AR aging reports and troubleshooting and resolving complex problems
Requirements
- 3 years professional fee (provider) coding or a combination of 3 years professional fee (provider) coding and healthcare auditing experience required
- Professional fee auditing and education experience preferred
- Multi-specialty professional fee coding experience preferred
- Knowledge of PC database applications, Microsoft Office, spreadsheet design, encoder required
- Subject matter expertise in the areas of CPT, ICD-10-CM and HCPCS coding required
- Ability to develop and present education presentations required
- Required Education: Coding Certificate Program, or equivalent experience, leading to appropriate certification
- Training/Certifications/Licensure: CPC Certification by AAPC required
- CPMA Certification by AAPC preferred
Benefits
- medical/prescription insurance
- dental insurance
- vision insurance
- health and dependent care flexible spending accounts
- 403(b) (401(k) subject to collective bargaining agreement)
- paid time off
- paid sick leave as provided under state and local paid sick leave laws
- short-term disability
- optional long-term disability
- colleague and dependent life insurance
- supplemental life and AD&D insurance
- tuition assistance
- employee assistance program that includes free counseling sessions
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
pro-fee codingCPT codingICD-10-CM codingHCPCS codinghealthcare auditingcompliance plan developmentabstractingeducation and trainingcoding quality auditsprovider coding trends
Soft skills
problem-solvingcommunicationpresentation skillstrainingfeedback provisionorganizational skillsinterpersonal skillsoversightcollaborationattention to detail
Certifications
CPC CertificationCPMA CertificationCoding Certificate Program